Mary Salve Manajero, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61031509 Issued in WA

Practice address

6721 Regents Blvd
University Place, WA 98466-5461

Phone

(760) 898-0479

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Actriv Healthcare Inc.

  • Nursing Care Agency
  • Vancouver, WA
  • NPI 1174119978
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1801540299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 REGENTS BLVD",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665461",
            "telephone_number": "253-433-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 REGENTS BLVD",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665461",
            "telephone_number": "760-898-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAJERO",
        "first_name": "MARY",
        "middle_name": "SALVE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "702129",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61031509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen E Magargee
• Magic Massage LLC
• Anna Malewicz, MSW
• Marla Mallatt, RN
• Mallory Mackie PLLC
• Cortney Manning-Tripp
• Erin Elaine Manning
• Kristie K Marbut, ARNP
• Jenna Marie Mariotti, LMP
• Mark D Nellermoe Professional Service Corporation

• Licensed Practical Nurse in University Place, WA
• Providers in University Place, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.